Individual provider Active NPI

Olushola Nadine Cole

  • Acute Care Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1225660962
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN246599 Issued in GA
Practice address
4535 Winters Chapel Rd Ste B
Atlanta, GA 30360-2705
Phone
(770) 285-7246
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN246599 GA Primary

Addresses

Primary practice location

4535 Winters Chapel Rd Ste B
Atlanta, GA 30360-2705

Mailing address

4535 Winters Chapel Rd Ste B
Atlanta, GA 30360-2705
Phone (770) 285-7246

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.ADVANCEDMD.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222000430 GA Practitioner - Nurse Practitioner 4587079769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

Practice addresses (Care Compare)

497 Winn Way
Suite A210
Decatur, GA 30030-1712
Phone (404) 294-7033

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN246599GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033

595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150

Interoperability endpoints

  • Direct secure messaging: ncole45088@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1225660962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "770-285-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "770-285-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "OLUSHOLA",
        "middle_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN246599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.ADVANCEDMD.COM",
            "affiliation": "N",
            "address_1": "4535 Winters Chapel Rd Ste B",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303602705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.